ERJ Open Research,
Год журнала:
2024,
Номер
11(1), С. 00347 - 2024
Опубликована: Окт. 10, 2024
Sputum
extracellular
DNA
(eDNA)
is
associated
with
disease
severity
in
asthma
and
COPD
therefore
emerging
as
a
potential
therapeutic
target.
The
aim
of
this
study
was
to
investigate
the
effect
10
days
recombinant
human
DNase
(rhDNase)
treatment
eDNA-high
on
sputum
eDNA
levels,
neutrophil-related
inflammation,
lung
function
symptoms.
Adults
(n=80)
or
(n=66)
were
screened
for
presence
high
(>20
µg·mL-1)
those
eligible
(n=18
asthma,
n=17
COPD)
randomised
two-period
crossover
controlled
trial
consisting
daily
nebulised
rhDNase
(2.5
mg/2.5
mL)
placebo
(5
mL
0.9%
saline)
days,
2-week
washout
period.
primary
outcome
eDNA,
secondary
outcomes
included
neutrophil
trap
(NET)-related
biomarkers,
inflammatory
cell
counts,
respiratory
At
screening,
significantly
higher
total
count,
colour
score
inflammation
(HNP1-3,
LL-37
interleukin-1β)
both
compared
low
groups.
In
participants
older
had
poorer
control
eDNA.
Administration
reduced
levels
(median
(Q1-Q3)
Pre:
48.4
(22.1-74.1);
Post:
17.0
(5.0-31.0)
µg·mL-1;
p=0.022)
39.3
(36.7-55.6);
25.4
(11.3-38.6)
p=0.044)
placebo.
Symptoms,
NET
biomarkers
remained
unchanged.
there
reduction
banded
blood
neutrophils
(3.2
(0-7.7)
0.0
(0.0-1.5);
p=0.044).
Targeted
effectively
COPD.
Respiratory Research,
Год журнала:
2024,
Номер
25(1)
Опубликована: Янв. 19, 2024
Abstract
Background
Neutrophil
extracellular
traps
(NETs)
have
repeatedly
been
related
to
COVID-19
severity
and
mortality.
However,
there
is
no
consensus
on
their
quantification,
are
scarce
data
evolution
during
the
disease.
We
studied
circulating
NET
markers
in
patients
with
throughout
hospitalization.
Methods
prospectively
included
93
(201
blood
samples),
evaluating
disease
3
evolutionary
phases
(viral,
early,
late
inflammation).
Of
these,
72
had
180
samples
various
phases.
also
evaluated
55
controls
similar
age,
sex
comorbidities.
measured
4
serum:
cfDNA,
CitH3,
MPO-DNA
NE-DNA
complexes;
as
well
neutrophil-related
cytokines
IL-8
G-CSF.
Results
The
group
higher
CitH3
(28.29
vs
20.29
pg/mL,
p
=
0.022),
MPO-DNA,
(7.87
2.56
ng/mL;
0.80
0.52
1.04
0.72,
respectively,
<
0.001
for
all)
than
hospitalisation.
cfDNA
was
only
marker
clearly
severity,
it
remained
non-survivors
Only
an
independent
risk
factor
mortality
need
intensive
care.
count,
IL-8,
G-CSF
were
significantly
severity.
showed
significant
correlations
(r:
0.483,
0.001),
including
all
across
grades,
they
days
10–16
of
those
who
died.
Correlations
among
other
lower
expected.
Conclusions
biomarkers
NETs
present
associated
mortality,
but
three
little
or
association
these
outcomes.
activity
neutrophil
count
better
reflected
formation.
appeared
be
more
overall
tissue
damage;
previous
widespread
use
this
could
overestimated
relationship
between
Currently,
limitations
accurate
measurement
that
make
difficult
assess
its
true
role
pathogenesis.
International Journal of Molecular Sciences,
Год журнала:
2024,
Номер
25(3), С. 1464 - 1464
Опубликована: Янв. 25, 2024
Nowadays,
acute
respiratory
distress
syndrome
(ARDS)
still
has
a
high
mortality
rate,
and
the
alleviation
treatment
of
ARDS
remains
major
research
focus.
There
are
various
causes
ARDS,
among
which
pneumonia
non-pulmonary
sepsis
most
common.
Trauma
blood
transfusion
can
also
cause
ARDS.
In
aggregation
infiltration
neutrophils
in
lungs
have
great
influence
on
development
disease.
Neutrophils
regulate
inflammatory
responses
through
pathways,
release
neutrophil
extracellular
traps
(NETs)
is
considered
to
be
one
important
mechanisms.
NETs
mainly
composed
DNA,
histones,
granuloproteins,
all
mediate
downstream
signaling
pathways
that
activate
responses,
generate
immune
clots,
damage
surrounding
tissues.
At
same
time,
components
promote
formation
NETs,
thus
forming
vicious
cycle
continuously
aggravates
progression
associated
with
cytokine
storms
balance.
Since
DNA
main
component
DNase
I
viable
drug
for
removing
NETs.
Other
therapeutic
methods
inhibit
worthy
further
exploration.
This
review
discusses
mechanism
Understanding
association
between
may
help
develop
new
perspectives
Journal of Clinical Medicine,
Год журнала:
2024,
Номер
13(8), С. 2390 - 2390
Опубликована: Апрель 19, 2024
Extracellular
traps
made
by
neutrophils
(NETs)
and
other
leukocytes
such
as
macrophages
eosinophils
have
a
key
role
in
the
initial
immune
response
to
infection
but
are
highly
inflammatory
may
contribute
tissue
damage.
They
particularly
relevant
lung
disease,
with
pulmonary
anatomy
facilitating
their
ability
fully
extend
into
airways/alveolar
space.
There
has
been
rapid
expansion
number
of
published
studies
demonstrating
variety
important
respiratory
diseases
including
chronic
obstructive
cystic
fibrosis,
bronchiectasis,
asthma,
pneumonia,
COVID-19,
rhinosinusitis,
interstitial
disease
cancer.
The
expression
NETs
is
specific
process,
diagnostic
tests
need
differentiate
them
from
pathways/causes
cell
death
that
also
characterised
presence
extracellular
DNA.
targeting
this
pathway
therapeutics
significant
clinical
benefit;
however,
current
trials/evidence
at
very
early
stage.
This
review
will
provide
broad
overview
possible
treatment
disease.
Frontiers in Immunology,
Год журнала:
2024,
Номер
15
Опубликована: Июнь 28, 2024
is
a
highly
adaptable
opportunistic
pathogen
capable
of
exploiting
barriers
and
immune
defects
to
cause
chronic
lung
infections
in
conditions
such
as
cystic
fibrosis.
In
these
contexts,
host
responses
are
ineffective
at
clearing
persistent
bacterial
infection,
instead
driving
cycle
inflammatory
damage.
This
review
outlines
key
components
the
response
Nature Communications,
Год журнала:
2024,
Номер
15(1)
Опубликована: Янв. 29, 2024
Abstract
Excessive
host
immune
responses
contribute
to
severe
malaria
with
high
mortality.
Here,
we
show
that
PRL2
in
innate
cells
is
highly
related
experimental
disease
progression,
especially
the
development
of
murine
malaria.
In
absence
myeloid
cells,
Plasmodium
berghei
infection
results
augmented
lung
injury,
leading
significantly
increased
Intravital
imaging
revealed
greater
neutrophilic
inflammation
and
NET
formation
lungs
conditional
knockout
mice.
Depletion
neutrophils
prior
onset
protected
mice
from
NETs
associated
eliminated
difference
between
WT
CKO
regulates
neutrophil
activation
accumulation
via
Rac-ROS
pathway,
thus
contributing
ALI.
Hydroxychloroquine,
an
inhibitor
degradation
alleviates
tissue
damage
vivo.
Our
findings
suggest
serves
as
indicator
progression
addition,
our
study
indicated
importance
injury.
It
might
open
a
promising
path
for
adjunctive
treatment
NET-associated
disease.
Journal of Inflammation Research,
Год журнала:
2025,
Номер
Volume 18, С. 847 - 862
Опубликована: Янв. 1, 2025
This
study
evaluated
the
diagnostic
value
of
plasma
Neutrophil
extracellular
traps
(NETs)
levels
and
index
cardiac
electrophysiological
balance
(iCEB)
in
identifying
silent
myocardial
ischemia
(SMI)
maintenance
hemodialysis
(MHD)
patients.
cross-sectional
observational
involved
patients
receiving
MHD
treatment.
Data
were
collected
on
coronary
angiography
performed
our
hospital
from
February
2023
to
2024.
Patients
diagnosed
with
via
but
without
obvious
symptoms
grouped
as
SMI
group,
while
those
control
group.
Plasma
NETs
assessed
using
markers
indicative
components
including
double-stranded
DNA
(dsDNA),
circulating
free
(cfDNA)
myeloperoxidase,
iCEB
(QT/QRS)
electrocardiographic
findings
obtained.
Additionally,
echocardiographic
parameters,
inflammatory
markers,
biomarkers
analyzed.
Receiver
operating
characteristic
(ROC)
analysis
employed
evaluate
accuracy
SMI.
A
total
114
included,
79
participants
group
35
The
exhibited
significantly
elevated
associated
(dsDNA(37.89±4.55
vs
31.64±5.32,
P<0.001),
cfDNA(11.27±2.03
8.91±1.84,
MPO-DNA(23.69±4.01
17.52±3.41,
P<0.001)),
well
higher
compared
group(56.45±7.67
45.89±6.23,
P<0.001).
Furthermore,
electrocardiography
findings,
showed
significant
differences
between
two
groups.
ROC
demonstrated
potential
accuracies
iCEB,
an
area
under
curve
(AUC)
0.908,
sensitivity
0.987,
specificity
0.829
for
highlights
combined
patients,
providing
valuable
insights
into
early
detection
risk
stratification
strategies
this
population.
Frontiers in Immunology,
Год журнала:
2025,
Номер
16
Опубликована: Март 7, 2025
It
is
estimated
that
more
than
150
million
individuals
alive
in
2020
had
survived
tuberculosis
(TB).
A
portion
of
this
large
population
continues
to
experience
chronic
respiratory
abnormalities,
with
or
without
symptoms,
due
previous
active
pulmonary
TB.
This
condition
known
as
Post-TB
Lung
Disease
(PTLD),
involves
a
complex
interaction
between
pathogen,
host
and
environmental
factors.
These
interactions
are
believed
drive
hyperinflammatory
process
the
lungs
during
TB,
resulting
tissue
damage,
which
may
lead
radiological
sequelae,
impaired
function,
clinical
such
cough,
dyspnea,
hemoptysis,
infections.
Such
complications
impose
significant
health,
financial,
social
burdens,
remain
poorly
understood
inadequately
addressed
by
health
care
systems.
Given
heterogeneity
immune
cells
their
products
infiltrating
airways
lung
parenchyma
acute
inflammation
caused
Mycobacterium
infection,
it
evident
TB
immunopathology
multifactorial.
Among
various
components
involved,
neutrophils
have
recently
emerged
critical
contributors
deleterious
response
against
leading
severe
damage.
In
translational
narrative
review,
we
aim
summarize
role
primary
-
proteases
(such
elastase),
matrix
metalloproteinases
extracellular
traps
(NETs)
We
highlight
new
concepts
emerging
evidence
neutrophil
involvement
disease,
translating
these
insights
from
"bench
bedside"
facilitate
dialogue
fundamental
researchers
practitioners.
Additionally,
present
potential
targets
for
future
treatment
strategies
could
mitigate
even
prevent
PTLD.